Dr. Alex Strassman Performs Wisconsin’s First Arthroscopic MACI Procedure

The Orthopedic Institute at Southwest Health continues to push the boundaries of orthopedic innovation, offering patients cutting-edge treatments to help regain mobility and return to their active lifestyles. Orthopedic Surgeon, Dr. Alex Strassman, is the first to perform an arthroscopic MACI (Matrix-Induced Autologous Chondrocyte Implantation) procedure in Wisconsin—marking a significant advancement in minimally invasive cartilage restoration. The MACI procedure uses a patient’s own cartilage cells to repair damaged knee cartilage. This approach, when done arthroscopically through small incisions with a camera, reduces surgical trauma, pain, and recovery time compared to traditional open surgery.

Dr. Strassman recently treated a highly active 28-year-old patient experiencing recurrent ACL instability and a symptomatic cartilage lesion on the lower end of the femur. Upon diagnostic arthroscopy, Dr. Strassman discovered the patient’s previous hamstring ACL reconstruction had failed, and the cartilage lesion was a growing concern. He proceeded with a cartilage biopsy, laying the groundwork for the Vericel® Corporation MACI procedure.

Dr. Strassman successfully performed the MACI procedure in combination with a revision ACL reconstruction. This landmark surgery is one of the first arthroscopic MACI procedures in the United States to be performed alongside ACL reconstruction. This approach offers great utility by eliminating the need for a large arthrotomy during ACL reconstruction, ultimately benefiting patient recovery and long-term outcomes.

“Every patient is unique, and it’s crucial to communicate all available treatment options to help them make informed decisions,” says Orthopedic Surgeon, Dr. Alex Strassman. “This technique provides a minimally invasive solution for young patients with cartilage injuries, allowing them to recover more efficiently and return to their active lifestyles with a promising long-term outlook.”

At just 28 years old, Kyle Davis is no stranger to knee surgery. After undergoing ACL reconstruction in 2014 and now the MACI procedure performed by Dr. Alex Strassman, he’s experienced both the physical and mental toll recovery can take. But this time, things feel different. An avid runner and sports fan, Kyle is focused on getting back to the activities that make him feel like himself—running, playing basketball, and staying active on his feet all day. With a smoother recovery and renewed confidence, he’s optimistic about what’s ahead.

“This surgery was nothing like my first one, it was a lot easier on my mind and body. I’m walking again, I’m not in constant pain, and I finally feel like I’m getting back to being me. Dr. Strassman really listens. He doesn’t rush things and lets me recover at my pace. I don’t feel like I’ll be limited anymore. My biggest goal is to wake up, go for a run, and just feel normal—not robotic.”

Dr. Strassman brings fellowship-trained expertise to both community members and elite athletes at Southwest Health. His extensive experience in orthopedic sports medicine includes specialized care for knee, shoulder, and hip injuries. As the official team physician for the University of Wisconsin–Platteville athletes, he remains committed to providing advanced, evidence-based treatments that enhance performance and recovery.